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There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
If the sensation of itching persists for six weeks or longer, then it is called chronic itch or chronic pruritus. [ 4 ] [ 5 ] Chronic idiopathic pruritus or Chronic Pruritus of Unknown Origin is a form of itch that persists for longer than six weeks, and for which no clear cause can be identified .
The blood itself is an irritant, a foreign body within the callus that makes the area burn or itch. If the pool of blood is exposed to the outside, infection may follow. Infection may also lead to ulceration. This process can be prevented at several places. Diabetic foot infections are the leading cause of diabetic limb amputation.
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[1]: 36 The itch can be so intense that affected individuals will scratch their own skin to a bleeding condition. The condition is becoming increasingly common, presenting in patients who are usually fair skinned and middle aged and participate in golf , tennis , outdoor table tennis, sailing , or other leisure outdoor activities in sunny climates.
Referred itch or mitempfindung is the phenomenon in which a stimulus applied in one region of the body is felt as an itch or irritation in a different part of the body. The syndrome is relatively harmless, though it can be irritating, and healthy individuals can express symptoms.
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These symptoms can be present across most of the body or just in certain areas such as the wrists, between fingers, or along the waistline. [2] The head may be affected, but this is typically only in young children. [2] The itch is often worse at night. [2] Scratching may cause skin breakdown and an additional bacterial infection in the skin. [2]
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